Organization
FORT TRYON REHABILITATION & HEALTH CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KARASH CNHA (ADMINISTRATOR)
(212) 543-6400
Entity
Organization
Contact information
Practice address
801 W 190TH ST, NEW YORK, NY 10040
(212) 543-6400
(212) 543-6419
Mailing address
801 W 190TH ST, NEW YORK, NY 10040-3802
(212) 543-6400
(212) 543-6419
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7002359N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310256
—
NY
01
—
7002359N
OPERATING CERTIFICATE
NY
Enumeration date
11/16/2006
Last updated
05/15/2018
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